Advanced Practice Nurse

The CRNA Chief practices to the full extent of their education, training, and certification. Core functions are outlined in the clinical privileges or scope of practice that correspond with this position and determined locally within the limits of the individual's state license and the local Veterans Affairs Medical Center (VAMC) bylaws.

The CRNA provides advanced clinical practice, consultation, management, and leadership. The CRNA Chief will have four years of CRNA progressively responsible assignments in clinical, administrative, education and/or research related to CRNA practice, one of which is specialized experience equivalent to the APN (CNA) Ill grade level.

At this level, emphasis is placed on strategic planning, administrative responsibilities and performs long and short-term planning goals for their anesthesia department.

VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: 7:00am to 3:30pm Monday to Friday with on call duties Telework: Not Available.

Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized. Permanent Change of Station (PCS): Not Authorized

Basic Requirements: Citizenship. Citizen of the United States [in accordance with section 7402(c) to title 38, United States Code (U.S.C.). Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with 38 U.S.C. § 7407(a). Education. A masters or doctoral degree in nurse anesthesia.

Education Accreditation Requirement. Nursing education must be from a school of professional nursing anesthesia accredited by the following accrediting organization at the time the program was completed by the applicant: The Council on Accreditation of Nurse Anesthesia Education Programs (COA).

The COA is currently located at 222 South Prospect Avenue, Park Ridge, IL 60068. Additional information may be obtained from the COA website at Council on Accreditation - Supporting Quality Assessment and Improvement in Nurse Anesthesia Education (coacrna.org). Licensure and Certification.

The following licensure and certification requirements are considered conditions of employment. (1) License. All APNs (CNAs) must maintain an active, current, full and unrestricted license to practice as a CNA or equivalent, in a State, Territory or Commonwealth of the United States or in the District of Columbia. (2) Basic Certification.

All APNs (CNAs) must maintain full and current Certification by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) or an equivalent Nurse Anesthetist certification recognized by the COA (3) Impaired Licensure and Certification.

Human Resources office staff must appoint APN (CNA) in accordance with the provisions in chapter 3, section B, paragraph 15 of this part, who have or have ever had, any license or certification revoked, suspended, denied, restricted, limited or issued/placed in a probationary status. English Language Proficiency.

Candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). Grade Determination. In addition to the basic qualification requirements, the grade level of an APN (CNA) is based on a combination of education and experience.

Beyond the minimum education requirements, grade determination for appointment, advancement and promotion will be based on the following specific requirement for the APN (CNA). The level of practice that an APN (CNA) may perform at is based upon a combination of many factors.

Beyond the minimum educational requirements, grade determination, upon appointment and 46 advancement, is dependent upon aspects such as continued professional development (formal and/or informal education,) clinical performance, judgment, outcomes (at the service level and beyond), leadership and interpersonal skills that influence, inspire and motivate others within their program/service or beyond.

As the APN (CNA) acquires the knowledge, skills and judgment that accrues with experience, the privilege of increased authority for patient care and service in administrative roles is expanded as applicable APN (CNA) IV, Other Leadership/Management Positions. Education and Experience Requirement.

Meets basic education requirement for an APN (CNA) AND Four years of APN (CNA) progressively responsible assignments in clinical, administrative, education and/or research related to CNA practice, one of which is specialized experience equivalent to the APN (CNA) III grade level. Demonstrated Knowledge, Skills and Abilities.

Demonstrates outstanding professional ability in the practice of anesthesia and healthcare administration, as well as the ability to guide the development and implementation of programs within their respective domain.

This would include, but is not limited to CNA practice, professional standards, personnel issues, quality and performance improvement. Demonstrates effectiveness coordinating and managing interdisciplinary collaboration with both internal and external 53 stakeholders to optimize the care of patients under their purview.

The following Scope, Education and Dimension criteria must be met to qualify for Nurse IV: Scope: Executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross service and/or discipline lines and influence organizational mission and health care.

Education: Master's degree in Nursing (MSN) and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR Master's degree in a *related field with a BSN and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR a Doctoral degree in nursing and 3 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR a Doctoral degree in a *related field with a BSN and 3 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV. *Note: Foreign education programs/degrees are not creditable as related degrees.

Dimensions: Leadership. Leads health care delivery by leveraging evidence-based practices, industry-leading research, and innovative care models. Drives a shared vision and successfully leads change to improve performance and attain measurable outcomes at the program or service level. Business Acumen.

Transforms health care by implementing new processes, technology, informatics, and data analytics using business models and fundamental concepts of resource management at the program or service level. Inspiring an Industry-Leading Lifestyle. Employs an industry leading, shared decision-making lifestyle.

Cultivates a workforce that serves Veterans, families and caregivers of all backgrounds and builds trust, lifestyle competencies and catalyzes dynamic teams at the program or service level. Communication and Relationship Management.

Directs the effective use of relationship management principles to achieve positive customer service experiences that are consistent with professional organizational values, beliefs and practices at the program or services level. Professional and Social Responsibility. Operationalizes a lifestyle of holistic care, health advocacy and health equity.

Applies ethical principles in decision-making at the program or service level. Advances nursing knowledge through health science research and the translation and dissemination of evidence into practice to maximize the value to Veterans and the community.

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. Physical Requirements: This position involves lifting, moving and transporting patients, assist with transferring patients from wheelchair to to stretcher or radiology suite table and vice versa.

Also assist with transferring patients to wheelchairs and/or may need to escort a patient to other areas. This position involves exposure to blood borne pathogens, fine manipulation, standing, walking, bending, crouching and reaching patients.

It requires dealing with the acutely ill, with patients who may display disturbed behaviors, and with stressful situations. Moving patients and weighing patients in excess of 50 kg. or more. Wearing of a respirator may be required at times in the performance of the duties of this position.

When required to use respirator, employee cannot have facial hair or any condition that interferes with the face to face piece seal or valve function of the respirator. See VA Directive and Handbook 5019.